Interpersonal Problems in People with Bulimia Nervosa and the Role of Interpersonal Psychotherapya

Arcelus, Jon; Whight, Debbie; Haslam, Michelle

doi:10.5772/19212

Cited by 4 publications

(6 citation statements)

References 33 publications

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“…As IPT has been successfully used in various populations (e.g., Arcelus et al, 2011;Hara et al, 2000;Mufson et al, 2013), it could be adapted for use within the transgender population (Budge, 2013). For those transgender patients who meet a diagnosis of anxiety disorder current treatment approaches apply, including consideration of pharmacotherapy and/or psychological treatment (Baldwin et al, 2014;Iacoviello & Charney, 2015).…”

Section: Comparison Between People On Cht and Those Not On Chtmentioning

confidence: 99%

Transgender and anxiety: A comparative study between transgender people and the general population

Bouman

Claes

Brewin

et al. 2016

International Journal of Transgenderism

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152

109

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Background:Anxiety disorders pose serious public health problems.The data available on anxiety disorders in the transgender population is limited by the small numbers, the lack of a matched controlled population and the selection of a nonhomogenous group of transgender people.Aims:The aims of the study were(1)To determine anxiety symptomatology (based on the HADS) in a non-treated transgender population and to compare them to a general population sample matched by age and gender;(2)To investigate the predictive role of specific variables, including experienced gender, self-esteem, victimization, social support, interpersonal functioning and cross-sex hormone use regarding levels of anxiety symptomatology;(3)To investigate differences in anxiety symptomatology between transgender people on cross-sex hormone treatment and those who are not.Methods:A total of 913 individuals, who self-identified as transgender attending a transgender health service during a three-year period agreed participation. For the first aim of the study 592 transgender people not on treatment were matched by age and gender with 3816 people from the general population. For the second and third aim the whole transgender population was included. Measurements:Socio-demographic variables and measures of depression and anxiety(HADS), self-esteem(RSE), victimisation(ETS), social support(MSPSS), and interpersonal functioning(IIP-32).Results:Compared with the general population transgender people had a nearly 3-fold increased risk of probable anxiety disorder(all p < .05). Low self-esteem and interpersonal functioning were found to be significant predictors of anxiety symptoms. Trans women on treatment with cross-sex hormones were found to have lower levels of anxiety disorder symptomatology.Conclusions:Transgender people (particularly trans males) have higher levels of anxiety symptoms suggestive of possible anxiety disorders, when compared to the general population. The findings that self-esteem, interpersonal functioning and hormone treatment is associated with lower levels of anxiety symptoms indicate the need for clinical interventions targeting self-esteem and interpersonal difficulties as well as the importance of quick access to transgender health services.

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Section: Comparison Between People On Cht and Those Not On Chtmentioning

confidence: 99%

Transgender and anxiety: A comparative study between transgender people and the general population

Bouman

Claes

Brewin

et al. 2016

International Journal of Transgenderism

Self Cite

152

109

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“…IPT has been found to alleviate depression by improving interpersonal problems (Ravitz et al., ). Because IPT has been successfully used in various populations (e.g., Hara, Stuart, Gorman, & Wenzel, ; Arcelus, Whight, & Haslam, ; Mufson, Weissman, Moreau, & Garfinkel, ), it could be adapted for use within the trans population (Budge, ).…”

Section: Discussionmentioning

confidence: 99%

Interpersonal Functioning Among Treatment‐Seeking Trans Individuals

Bouman¹,

Meyer

Arcelus

2015

J Clin Psychol

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“…Nine therapists had one patient and eight therapists had two to four patients. The data collection was conducted during the years 2013-2016, and was made in conjunction with an IPT-project by SwEat which had the aim to teach therapists IPT-BNm [22,23]. The therapists received weekly internet-based group supervision by accredited IPTsupervisors.…”

Section: Therapistsmentioning

confidence: 99%

“…Twenty-two of the 31 patients were remitted [17] or improved [5] in their ED-symptoms. Two more passed the cut-off for CS [22] but were not considered remitted due to low entry values. Six remained unchanged and one had reliably deteriorated in ED symptoms.…”

Section: Reliable Symptom Changementioning

confidence: 99%

“…Techniques such as problem solving were not used. This has been proposed as another explanation for the delayed treatment response in IPT-BN compared to CBT [22]. In order to improve IPT for BN, a manual was created where the ED problems were in focus by including original components of IPT such as psychoeducation, weekly evaluation of current symptoms (in this case eating problems), directive techniques, problem solving, modelling and role play [23].…”

Section: Introductionmentioning

confidence: 99%

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Reduction in depressive symptoms predicts improvement in eating disorder symptoms in interpersonal psychotherapy: results from a naturalistic study

et al. 2020

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Background: Interpersonal psychotherapy (IPT) can be effective for both Bulimia Nervosa (BN) and co-occurring depression. While changes in symptoms of Eating disorder (ED) and depression have been found to correlate, it is unclear how they interact during treatment and in which order the symptoms decrease. Methods: Thirty-one patients with BN and depressive symptoms received IPT using the manual IPT-BNm in a naturalistic design. The outcome was measured with the Eating Disorder Examination Questionnaire (EDE-Q) and the Montgomery Åsberg Depression Rating Scale (MADRS-S). Symptom improvement at each session was measured with Repeated Evaluation of Eating Disorder Symptoms (REDS) and the Patient Health Questionnaire-9 (PHQ-9). Results: Significant improvements with large effect sizes were found on both ED symptoms and depression. The rates of change were linear for both BN and depression. A strong correlation between reduction of depressive symptoms and ED symptoms was found. Depressive symptom reduction at one session predicted improvement of ED symptoms at the next session. Conclusions: IPT-BNm had an effect on both BN and co-occurring depressive symptoms. The analyses indicated that reduction in depressive symptoms preceded reduction in bulimic symptoms.

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Interpersonal Problems in People with Bulimia Nervosa and the Role of Interpersonal Psychotherapya

Cited by 4 publications

References 33 publications

Transgender and anxiety: A comparative study between transgender people and the general population

Transgender and anxiety: A comparative study between transgender people and the general population

Interpersonal Functioning Among Treatment‐Seeking Trans Individuals

Reduction in depressive symptoms predicts improvement in eating disorder symptoms in interpersonal psychotherapy: results from a naturalistic study

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